Sheathless Versus Sheathed Intra-Aortic Balloon Pump Implantation in Patients Undergoing Cardiac Surgery

Heuts, Samuel; Lorusso, Roberto; Mauro, Michele Di; Jiritano, Federica; Scrofani, Roberto; Antona, Carlo; Dato, Guglielmo Actis; Centofanti, Paolo; Ferrarese, Sandro; Matteucci, Matteo; Miceli, Antonio; Glauber, Mattia; Vizzardi, Enrico; Sponga, Sandro; Vendramin, Igor; Garatti, Andrea; Vincentiis, Carlo De; Bonis, Michele De; Pieri, Marina; Troise, Giovanni; Tomba, Margherita Dalla; Serraino, Giuseppe Filiberto

doi:10.1016/j.amjcard.2022.11.033

Cited by 4 publications

(4 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Eine weitere Überlegung wäre, die IABP ohne Schleuse zu implantieren. Sehr aktuelle Daten zeigten, dass eine „schleusenlose“ Implantation mit weniger Komplikationen und einem besseren Outcome verbunden ist [ 15 ].…”

Section: Diskussionunclassified

Verwendung der intraaortalen Ballonpumpe zur Verbesserung der zerebralen Sauerstoffsättigung nach Reanimation bei einem herzchirurgischen Eingriff

Funk,

Kilger,

Vlachea

et al. 2023

Anaesthesiologie

View full text Add to dashboard Cite

Section: Diskussionunclassified

Verwendung der intraaortalen Ballonpumpe zur Verbesserung der zerebralen Sauerstoffsättigung nach Reanimation bei einem herzchirurgischen Eingriff

Funk,

Kilger,

Vlachea

et al. 2023

Anaesthesiologie

View full text Add to dashboard Cite

“…Intra aortic balloon pump (IABP) effectively supports declining circulation in subjects at high risk of post-operative cardiovascular events. Research has also shown its survival benefits in subjects with low ejection fraction (Escutia-Cuevas et al, 2020;Heuts et al, 2023;Iliuta et al, 2022). However, IABP use is associated with complications like infection, paraplegia, stroke, hemolysis, aortic or iliac dissection bleeding, and limb ischemia; moreover, it's intensive care treatment and is costly He and Gao, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Intra-Aortic Balloon Pump in Patients With Low Ejection Fraction Undergoing Coronary Artery Bypass Grafting

KHAN¹,

ASHRAF

Roomi³

2023

Biol Clin Sci Res J

View full text Add to dashboard Cite

This study aimed to assess risk factors that predict the length of stay and 30-day mortality in subjects undergoing CAGB to evaluate the impact of IABP support in patients with low ejection fraction. The prospective study was conducted in the Cardiology Department of Punjab Institute of Cardiology Lahore from January 2022 to January 2023. A total of 315 patients were included in the study. The sample was divided into a study group (n=110, having LVEF ≤ 30%) and a control group (n=205, having EF > 30%). Pre-operative and intraoperative data of the patients were recorded. Post-operative complications were recorded, including LOS in the hospital and 30-day mortality. Patients in the study group required more emergency CABG ( P = .005), and IABP was also used more frequently in patients having EF< 30% (P<.001). LOS in hospital (P<.001) and ICU (P<.001) and 30-day mortality (P=.009) were higher in the study group. According to multivariate logistic regression analysis, in the study group history of cerebrovascular disease ( P = .018), peripheral vascular disease ( P = .004), congestive heart failure ( P = .027), and IABP use ( P = .002) were associated with the rate of 30-day mortality. Moreover, the increased length of hospital stay in these patients was associated with an increase in age (P<.001), hypertension (P=.040), and IABP use (P=.009). Based on the results, it can be concluded that the low ejection fraction positively affects increased LOS and 30-day mortality in subjects undergoing CABG; IABP insertion is a significant predictor of increased LOS and 30-day mortality and increases post-operative complications.

show abstract

“… 4 Recently, sheathless access has been shown to be feasible and associated with a decreased complication rate compared with a sheathed approach for short-term support pre-cardiac surgery. 5 In this case report, we discuss our experience of using sheathless femoral IABP access pre-HTx, allowing for ambulation, rehabilitation, and a prolonged ultra-long support run.…”

Section: Introductionmentioning

confidence: 99%

A case of ultra-prolonged intra-aortic balloon pump support via sheathless femoral access

Al-Ani,

Snipes,

Parker

et al. 2023

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background Intra-aortic balloon pump (IABP) is a mechanical circulatory support platform with a relatively low complication rate. Axillary access is increasingly utilized to allow rehabilitation. Case Summary We present a case of femoral IABP inserted into the femoral artery percutaneously via a sheathless technique that allowed the patient to ambulate and physically rehabilitate over 102 days until cardiac transplantation. The patient was able to progress with protocolized rehabilitation program to up 3500 feet walking distance. The IABP was removed at the time of transplantation without any vascular complications. Discussion While axillary IABP offers opportunity to rehabilitate, it has an unacceptably high complication rate, often resulting in vascular injury that adds morbidity to an acutely ill cohort. In this case, we found that the sheathless femoral IABP access offered stability for prolonged time while avoiding pain, bleeding, infection, and vascular injury. We hypothesize that this is due to less indwelling prosthetic material usage and also the device flexibility allowing conformation to the natural course of the femoral artery. We are encouraged by this case to use sheathless access approach for patients expected to require prolonged IABP support.

show abstract

Sheathless Versus Sheathed Intra-Aortic Balloon Pump Implantation in Patients Undergoing Cardiac Surgery

Cited by 4 publications

References 21 publications

Verwendung der intraaortalen Ballonpumpe zur Verbesserung der zerebralen Sauerstoffsättigung nach Reanimation bei einem herzchirurgischen Eingriff

Verwendung der intraaortalen Ballonpumpe zur Verbesserung der zerebralen Sauerstoffsättigung nach Reanimation bei einem herzchirurgischen Eingriff

The Effect of Intra-Aortic Balloon Pump in Patients With Low Ejection Fraction Undergoing Coronary Artery Bypass Grafting

A case of ultra-prolonged intra-aortic balloon pump support via sheathless femoral access

Contact Info

Product

Resources

About